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QUALITY ASSURANCE AND PERFORMANCE IMPROVEMENT FOR HOME HEALTH AGENCIES

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Contents

ABOUT THE AUTHOR.............................................................................13ACKNOWLEDGEMENT..............................................................................14Author's Insight.............................................................................15ADMINISTRATIVE...............................................................................18QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT (QAPI)..........................................20AGENCY PHILOSOPHY............................................................................25AGENCY GOALS.................................................................................25DAILY STAND UP CONFERENCE / QAPI DATA COLLECTION.............................................26CLINICAL RECORD REVIEW.......................................................................28ADMISSION POLICY.............................................................................32SERVICES PROVIDED............................................................................34CLIENT ASSESSMENT............................................................................36PROVISION OF 24-HOUR RN AVAILABILITY.........................................................38SUPERVISION OF SERVICES......................................................................40ABUSE PREVENTION PLAN........................................................................41SPECIAL CONSIDERATIONS.......................................................................44CLINICAL.....................................................................................48PHYSICIAN ORDERS.............................................................................54MEDICAL SUPERVISION..........................................................................57EMERGENT CARE................................................................................59CLINICAL DOCUMENTATION.......................................................................60DOCUMENTATION TURNAROUND POLICY FOR CLINICAL STAFF...........................................61MEDICARE DOCUMENTATION GUIDE AND CHEAT SHEET.................................................62MEDICATION PROFILE...........................................................................65TABLE 1:.....................................................................................68HOME HEALTH AIDE FLOW SHEET AND DOCUMENTATION................................................74HOME HEALTH AIDE CARE PLAN...................................................................76HOME HEALTH AIDE: ASSIGNMENT.................................................................78HOME HEALTH AIDE DOCUMENTATION POLICY........................................................80COMMUNICATION WITH LIMITED-ENGLISH-PROFICIENT PERSONS........................................81THE PROCESS OF COMMUNICATION IN BUSINESS.....................................................83TEACHING CLIENTS/CAREGIVERS..................................................................87SAFETY MANAGEMENT............................................................................90NEEDLE STICK SAFETY AND PREVENTION POLICY AND PROCEDURE......................................92MISTREATMENT / ABUSE / NEGLECT / MISAPPROPRIATION............................................95CLIENT INCIDENT REPORTING....................................................................98LABORATORY TESTING...........................................................................100CLIENT DISCHARGE PROCESS.....................................................................102DISCHARGE SUMMARY............................................................................105CLIENT TRANSFER..............................................................................107PERSONNEL RECRUITMENT PROCESS................................................................109LICENSE REGISTRATION OR CERTIFICATION REQUIREMENTS...........................................110HOME HEALTH AIDE COMPETENCY EVALUATION.......................................................111EMPLOYEE HEALTH SCREENING....................................................................115PERFORMANCE REVIEW...........................................................................119CARDIOPULMONARY RESUSCITATION (CPR) TRAINING.................................................121EMPLOYEE ORIENTATION.........................................................................122EMPLOYEE TRAINING............................................................................125LICENSE REGISTRATION OR CERTIFICATION REQUIREMENTS...........................................128HOME HEALTH AIDE COMPETENCY EVALUATION.......................................................129FORM 3.......................................................................................132FORM 4: CONFIDENTIAL REFERENCE...............................................................133FORM 5: CONFIDENTIAL REFERENCE...............................................................134FORM 6: APPLICANT PERFORMANCE EVALUATION.....................................................135SUPERIOR:....................................................................................136ABOVE AVERAGE:...............................................................................136FULLY COMPETENT:.............................................................................136DEVELOPMENTAL:...............................................................................136PROVISIONAL/UNSATISFACTORY:..................................................................136FORM 7: HEALTH STATEMENT.....................................................................137FORM 8: PERFORMANCE APPRAISAL REPORT.........................................................138FORM 9: EMPLOYEE EVALUATION (optional).......................................................140FORM 11: PEER REVIEW.........................................................................142NURSES ORIENTATION...........................................................................143FORM 12: PATIENT/FAMILY GRIEVANCE FORM.......................................................145FORM 13: GRIEVANCE/COMPLAINT INVESTIGATION REPORT............................................146COMPETENCY EVALUATION AND TEST FOR REGISTERED NURSE..........................................147COMPETENCY EVALUATION AND TEST FOR LICENSED PRACTICAL (VOCATIONAL) NURSE.....................156ADDITIONAL RESOURCES.........................................................................164FORM 13: QAPI FORM...........................................................................188FORM 14: QUALITY INDICATOR...................................................................189Quality Indicator............................................................................189FORM 15: STAFF RETENTION.....................................................................192DIAGRAM 1: THE ANENE SERVICE & CARE MANAGEMENT CIRCLE........................................194REFERENCES...................................................................................195

Chapter One

Business Development Department (MARKETING)

Home health agencies are becoming aggressive marketers of their business because marketing is very important for the sustenance of any home health agency. Operating an agency without an aggressive and...